Individual
DR. FARAZ AHMED TYEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 733-0311
(717) 738-6735
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS017653
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103023834
—
PA
Enumeration date
08/10/2011
Last updated
03/12/2020
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